Organization Active NPI

Dry Creek Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Englewood, CO
National Provider Identifier
1275526378
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0216 Issued in CO
Legal business name
DRY CREEK SURGERY CENTER, LLC
Practice address
135 Inverness Dr E
Englewood, CO 80112-5115
Phone
(303) 706-9001
Fax
(303) 706-9002
NPI assigned
Aug 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Kristi Kohlman
Title
Buisness Manager
Phone
(720) 895-6803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0216 CO Primary

Addresses

Primary practice location

135 Inverness Dr E
Englewood, CO 80112-5115

Mailing address

135 Inverness Dr E
Englewood, CO 80112-5115
Phone (303) 706-9001

Other identifiers 1

IdentifierTypeStateIssuer
18526268MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275526378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 INVERNESS DR E",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125115",
            "telephone_number": "303-706-9001",
            "fax_number": "303-706-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 INVERNESS DR E",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125115",
            "telephone_number": "303-706-9001",
            "fax_number": "303-706-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRY CREEK SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOHLMAN",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "BUISNESS MANAGER",
        "authorized_official_telephone_number": "720-895-6803",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CO",
            "license": "0216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18526268",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.